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Gentamicin-resistant enterococcal endocarditis: the need for routine screening for high-level resistance to
1Department of Medicine, University of Illinois, Chicago.
Southern Medical Journal
|April 1, 1990
Abstract:
We have reported a case of high-level gentamicin-resistant enterococcal endocarditis as a complication of intravenous narcotic abuse. Because routine screening of enterococcal blood isolates for high-level aminoglycoside resistance was not done, the patient possibly received suboptimal therapy. This case amplifies the necessity of a systematic screening program for enterococcal blood isolates to detect high-level resistance to gentamicin and streptomycin in clinical laboratories.